Highland Nursing Center
5819 Pecan Valley Dr, San Antonio, TX 78223 · (210) 532-1911
For profit - Corporation · 53 certified beds
Highland Nursing Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 14 citations (the Texas average is 9.4). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 27, 2026 found 14 citations. What an inspection citation means
- Provide and implement an infection prevention and control program.March 27, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.March 27, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.March 27, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 27, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 27, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 27, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Keep all essential equipment working safely.March 27, 2026 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 27, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow resident to participate in the development and implementation of his or her person-centered plan of care.March 27, 2026 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 27, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.March 27, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 27, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or obtain dental services for each resident.March 27, 2026 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Dispose of garbage and refuse properly.March 27, 2026 · F0814 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 8 citations.
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.January 10, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 10, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.January 10, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.January 10, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.January 10, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are fully informed and understand their health status, care and treatments.December 6, 2024 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 11, 2023 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 11, 2023 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | Not available | 3.39 | 3.86 |
| Registered nurses (RN) | Not available | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | Not available | 0.95 | 0.86 |
| Nurse aides | Not available | 2.01 | 2.32 |
| Total nursing staff turnover | 42.4% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 53 |
| Average residents per day | 32.9 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Army Residence Community San Antonio · ★★★★★ 5 out of 5 stars
- Coronado at Stone Oak San Antonio · ★★★★★ 5 out of 5 stars
- Lakeside Nursing and Rehabilitation Center San Antonio · ★★★★★ 5 out of 5 stars
- The Mission at Blue Skies of Texas East San Antonio · ★★★★★ 5 out of 5 stars
- Pecan Valley Rehabilitation and Healthcare San Antonio · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Highland Nursing Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.